The Texas Supreme Court has unanimously rejected the most significant challenge to Texas’ new abortion laws yet, ruling Friday that the medical exceptions in the law were broad enough to withstand constitutional challenge.

The initial lawsuit was filed in March 2023, and unlike previous wholesale, pre-enforcement challenges to abortion bans, this case focused on a very narrow argument—women with complicated pregnancies were being denied medically necessary abortions because doctors were unclear on how and when they could act. Amanda Zurawski, the named plaintiff in the suit, was 18 weeks pregnant with a daughter they’d named Willow when she experienced preterm prelabor rupture of membranes. Despite the condition being fatal to the fetus and posing significant risks to the pregnant patient, her doctors refused to terminate the pregnancy because there was still fetal cardiac activity. Eventually, Zurawski went into sepsis and spent three days in the intensive care unit. While she survived, the infection has made it difficult for her and her husband to conceive again.

“The people in the building behind me have the power to fix this, yet they’ve done nothing,” Zurawski said. “So it’s not just for me, and for our Willow, that I stand here before you today—it’s for every pregnant person, and for everyone who knows and loves a pregnant person.”